Pediatric Pulseless Ventricular Tachycardia: A Simulation Scenario for Fellows, Residents, Medical Students, and Advanced Practitioners

Cashen, Katherine; Petersen, Tara

doi:10.15766/mep_2374-8265.10407

Cited by 5 publications

(5 citation statements)

References 9 publications

(6 reference statements)

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“…Lastly, prior studies demonstrated that simulation advances learner comfort, knowledge, and skills surrounding management of complex cardiac patients. [22][23][24] As depicted by our study, critical cardiac simulation experiences are not standardised across United States paediatric critical care medicine fellowships.…”

Section: Discussionmentioning

confidence: 89%

High variability in cardiac education and experiences during United States paediatric critical care fellowships

et al. 2022

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Background: Paediatric cardiac critical care continues to become more sub-specialised, and many institutions have transitioned to dedicated cardiac ICUs. Literature regarding the effects of these changes on paediatric critical care medicine fellowship training is limited. Objective: To describe the current landscape of cardiac critical care education during paediatric critical care medicine fellowship in the United States and demonstrate its variability. Methods: A review of publicly available information in 2021 was completed. A supplemental REDCap survey focusing on cardiac ICU experiences during paediatric critical care medicine fellowships was e-mailed to all United States Accreditation Council of Graduate Medical Education-accredited paediatric critical care medicine fellowship programme coordinators/directors. Results are reported using inferential statistics. Results: Data from 71 paediatric critical care medicine fellowship programme websites and 41 leadership responses were included. Median fellow complement was 8 (interquartile range: 6, 12). The majority (76%, 31/41) of programmes had a designated cardiac ICU. Median percentage of paediatric critical care medicine attending physicians with cardiac training was 25% (interquartile range: 0%, 69%). Mandatory cardiac ICU time was 16 weeks (interquartile range: 13, 20) with variability in night coverage and number of other learners present. A minority of programmes (29%, 12/41) mandated other cardiac experiences. Median CHD surgical cases per year were 215 (interquartile range: 132, 338). When considering the number of annual cases per fellow, programmes with higher case volume were not always associated with the highest case number per fellow. Conclusions: There is a continued trend toward dedicated cardiac ICUs in the United States, with significant variability in cardiac training during paediatric critical care medicine fellowship. As the trend toward dedicated cardiac ICUs continues and practices become more standardised, so should the education.

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Section: Discussionmentioning

confidence: 89%

High variability in cardiac education and experiences during United States paediatric critical care fellowships

et al. 2022

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“…The case details require learners to recognize the need to deviate from PALS algorithmic management of ventricular tachycardia. While simulation cases that address ventricular tachycardia in pediatric patients are available, there are currently no published resources addressing Belhassen tachycardia [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Belhassen Tachycardia in a Pediatric Patient: A Simulation for Pediatric Emergency Medicine Fellows

Keilman¹,

Deen²,

Augenstein³

et al. 2022

Cureus

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Ventricular tachycardia in pediatric emergency department patients is a high-risk, low-frequency event well suited for education through simulation. This technical report describes a simulation-based curriculum for Pediatric Emergency Medicine fellows and senior residents involving the evaluation and management of a 10-year-old female presenting with palpitations who is ultimately diagnosed with Belhassen tachycardia. The curriculum highlights the features that differentiate Belhassen tachycardia (idiopathic left posterior fascicular ventricular tachycardia) from supraventricular or other tachycardias, building upon foundational pediatric resuscitation skills and Pediatric Advanced Life Support (PALS) algorithms for advanced learners.

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“…10 Multiple simulation-based curricula which use uninterrupted simulation scenarios with postevent debriefing are published for shock, [11][12][13] bronchiolitis, 14 or pediatric cardiac cases. 15,16 There are groups of cases aimed to improve critical communication skills during resuscitations. 17,18 However, this was the first RCDP-based resuscitation-based curriculum that taught and integrated procedural skills, communication skills, and resuscitation knowledge using a teambased choreography for the most common causes of pediatric deterioration.…”

Section: Introductionmentioning

confidence: 99%

Rapid Cycle Deliberate Practice for Pediatric Intern Resuscitation Skills

Lemke

2020

MedEdPORTAL

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Introduction: For pediatric interns, it takes deliberate practice to translate the knowledge of what to do in emergencies into the procedural and communication skills required of a team member or team leader. This curriculum taught interns through simulations with rapid cycle deliberate practice (RCDP). This method focused on teaching time-sensitive team-based activities in simulation. The RCDP structure alternated practice with immediate expert feedback. This alternating pattern gave the learner chances to practice the correct way to perform these skills. Methods: The curriculum was developed iteratively based on common gaps in intern skills and knowledge; it was well suited for groups of four to six interns and to be given by one or two instructors over a 6-hour period of time. After an initial warm-up case, a series of simulations used RCDP to move interns through cases focusing on management of respiratory distress, upper airway obstruction, shock, intubation, complications of intubation, and pulseless arrest. Feedback was interspersed throughout the experience with detailed explanations provided as the interns required them to complete the simulations. Results: This technique was well received by a group of 81 interns who provided positive feedback on the sessions. In particular, when asked if the course "improved my teamwork and leadership skills" they agreed with a mean score of 4.9 out of 5. Discussion: This curriculum taught and integrated the procedural skills, communication skills, and teamwork needed to participate in pediatric resuscitations. The methods described in this curriculum improved confidence of pediatric interns and merits further study.

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Pediatric Pulseless Ventricular Tachycardia: A Simulation Scenario for Fellows, Residents, Medical Students, and Advanced Practitioners

Cited by 5 publications

References 9 publications

High variability in cardiac education and experiences during United States paediatric critical care fellowships

High variability in cardiac education and experiences during United States paediatric critical care fellowships

Belhassen Tachycardia in a Pediatric Patient: A Simulation for Pediatric Emergency Medicine Fellows

Rapid Cycle Deliberate Practice for Pediatric Intern Resuscitation Skills

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